EconPapers    
Economics at your fingertips  
 

Is it good to be too light? Birth weight thresholds in hospital reimbursement systems

Simon Reif (), Sebastian Wichert and Amelie Wuppermann

Discussion Papers in Economics from University of Munich, Department of Economics

Abstract: Birth weight manipulation is common in per-case hospital reimbursement systems, in which hospitals receive more money for otherwise equal newborns with birth weight just below compared to just above specific birth weight thresholds. As hospitals receive more money for cases with weight below the thresholds, having a (reported) weight below a threshold could benefit the newborn. Also, these reimbursement thresholds overlap with diagnostic thresholds that have been shown to affect the quantity and quality of care that newborns receive. Based on the universe of hospital births in Germany from the years 2005–2011, we investigate whether weight below reimbursement relevant thresholds triggers different quantity and quality of care. We find that this is not the case, suggesting that hospitals’ financial incentives with respect to birth weight do not directly impact the care that newborns receive.

Keywords: neonatal care; DRG upcoding; quantity & quality of care (search for similar items in EconPapers)
JEL-codes: I11 I18 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-hea
Date: 2017-03
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2) Track citations by RSS feed

Downloads: (external link)
https://epub.ub.uni-muenchen.de/36422/1/0_master.pdf (application/pdf)

Related works:
Journal Article: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2018) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:lmu:muenec:36422

Access Statistics for this paper

More papers in Discussion Papers in Economics from University of Munich, Department of Economics Ludwigstr. 28, 80539 Munich, Germany. Contact information at EDIRC.
Bibliographic data for series maintained by Tamilla Benkelberg ().

 
Page updated 2019-05-17
Handle: RePEc:lmu:muenec:36422